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Application for Individuals

Please fill out the application below to be an AC Groups participant. Your responses to these questions will help as we try and place you in an group of people from similar backgrounds

"*" indicates required fields

Gender*
Relationship status
If you are a parent, please select an age range for your child or children

Why AC Groups?

For those who can't afford the full price of $100 per group, we offer a sliding scale fee. If you are in need of a reduced sliding scale fee in order to be able to participate in AC Groups, please check the box below.*

Scheduling information

This section of the survey asks about your availability so that our team can place you in a group
Time Zone*

Please check all times you are available or that may work (assuming a few weeks' notice) to attend weekly, one-hour groups:

MORNINGS
08:00 AM
09:00 AM
10:00 AM
11:00 AM
AFTERNOONS
12:00 PM
01:00 PM
02:00 PM
03:00 PM
04:00 PM
EVENINGS
05:00 PM
06:00 PM
07:00 PM
08:00 PM
NONE

Quick Navigation :

  • About AC Groups
  • What Makes AC Groups Different?
  • Meet The Team
  • Frequently Asked Questions
  • Scientific Evidence
  • Media
  • Services
  • Testimonials
  • Application for Individuals
  • Application for Organizations
  • Donate

212-287-7714
info@acgroups.org

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